| NPI | 1538105804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW012735) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA CW012735) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2012-02-07 |